Publications by authors named "Raul Fernandez-Crespo"
Background And Objective: Implantation of penile prosthesis (PP) into scarred and fibrotic corpora can be a difficult challenge. In this review article, we provide a review of penile fibrosis, discuss current medical and surgical management and summarize preventative strategies.
Methods: In this study, we searched PubMed between the years 2000-2023 for publications with search strategy: "penile fibrosis" OR "scarred corpora" OR "fibrosed corpora".
The penile prosthesis has revolutionized the management of erectile dysfunction and is a mainstay in the treatment of this clinical entity. The goal of proper patient selection and counseling is to achieve a satisfactory outcome for the patient. Most patients receiving a penile prosthesis are satisfied with their outcome, and while the penile prosthesis generally allows for high satisfaction rates, avenues for dissatisfaction can arise.
View Article and Find Full Text PDFIntroduction: Male circumcision is one of the most frequently performed and debated urological procedures due to its possible implications for sexual health.
Objectives: The objective of this article is to review the literature on male circumcision and reconcile the scientific evidence to improve the quality of care, patient education, and clinician decision-making regarding the effects on sexual function of this procedure.
Methods: A review of the published literature regarding male circumcision was performed on PubMed.
Purpose Of Review: Numerous innovations have been made since the first inflatable penile prosthesis was introduced in 1973-not just of the implant apparatus itself, but crucially also in the surgical instruments used for prosthetic surgery. Starting with Dr. Furlow's revolutionary inserter tool, advancements were quickly made in dilators, retractors, and cavernotomes.
View Article and Find Full Text PDFBackground: Extended reality-assisted urologic surgery (XRAS) is a novel technology that superimposes a computer-generated image on the physician's field to integrate common elements of the surgical process in more advanced detail. An extended reality (XR) interface is generated using optical head-mounted display (OHMD) devices.
Aim: To present the first case of HoloLens-assisted complex penile revision surgery.
Article Synopsis
- Modern penile prostheses, which help with certain medical problems, have been getting better since the 1970s in both how they're made and how they're put in.
- It's really important for doctors to pick the right patients and talk to them before surgery to make sure they understand what to expect.
- After surgery, following specific instructions can help make sure everything goes well and that patients feel happier with the results.
Article Synopsis
- The Penuma penile implant is the only FDA-approved device designed for cosmetic enhancement of the penis.
- A case study highlights an infection in a Penuma implant that resembled infections seen in penile prostheses, leading to a recommended explantation procedure.
- After the surgery, the patient experienced complications like penile shortening and a curve, which should be considered during patient counseling.
Purpose Of Review: The goal of this paper was to discuss the issues and/or overt complications associated with the 3-piece inflatable penile prosthesis (3-IPP) pump. We also addressed how to resolve such issues with or without surgical intervention.
Recent Findings: Numerous modifications of the 3-IPP pump have been introduced with multiple techniques to place the pump.
Purpose Of Review: The goal of this paper was to evaluate the current use of semirigid penile prosthesis (SRPP), surgical techniques for insertion of SRPP, and how to prevent and approach surgical complications.
Recent Findings: SRPP is a valid option for those who are refractory to medical therapy for erectile dysfunction (ED) and even more appropriate for specific subsets of patient populations. It is important for urologists to know which patient population SRPP is preferred for.
Purpose Of Review: The goal of this review article is to evaluate sexual dysfunction among men who have sex with men (MSM).
Recent Findings: Men who have sex with men are commonly affected by sexual dysfunction. Often sexual dysfunction in MSM will significantly impact their psychological well-being perhaps even more than their heterosexual counterparts.